Biological dynamic condylar screw fixation for management of Peritrochanteric hip fractures

Vol 4 | Issue 1 | May – Aug 2018 | page: 25-28 | Ninad Ashok Godghate, Neha Ninad Godghate, Krishnamohan Ananda Saindane, Shriniwas Yemul, Shivraj Suryawanshi.

doi-10.13107/ti.2018.v04i01.062


Author: Ninad Ashok Godghate [1] , Neha Ninad Godghate [1], Krishnamohan Ananda Saindane [2], Shriniwas Yemul [3], Shivraj Suryawanshi [4].

[1] Consultant Grace Ortho Clinic Rajiv Nagar T-Point Wardha Road, Nagpur.
[2] FICS, Consultant, Suyog Hospital, Sakri road, Dhule.
[3] Ashwini Rural Medical College and Research Centre, Kumbhari, Solapur
[4] Consultant Orthopaedic Surgeon, Alexis Hospital Nagpur

Address of Correspondence
Dr. Ninad Godghate,
1, Satpute Layout, Somalwada, Wardha Road, Nagpur-440025
E-mail: drninadgodghate@gmail.com


Abstract

Introduction: Inspite of routine encounters, hip fractures have the capacity to perplex even experienced orthopaedic surgeons at times. Management of these fractures has evolved with time and soft tissue preserving techniques have gained importance. Through this study we have attempted to analyse the results of traditional dynamic condylar screw plate construct used in a biological manner for treatment of peritrochanteric hip fractures.
Material & Methods: 18 patients in the age group of 22 to 78 years with post traumatic unstable intertrochanteric or subtrochanteric fractures in a pre-operative normal limb were included. All cases were operated within 5 days of trauma and were advised non weight bearing mobilisation for 6 weeks.
Results: Union was achieved in all cases with average duration of 14.6 weeks. 14 patients regained pre-fracture activities.
0.5 cm lengthening was seen in 2 cases.
Conclusion: Biological plating with dynamic condylar screw plate construct is a good modality for treatment of peritrochanteric hip fractures. There is a learning curve like any other surgical technique and results can be improved over time with proper patient selection and planning.
Keywords: Biological, Dynamic condylar screw, unstable, Peritrochanteric fractures


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How to Cite this article:  Godghate NA , Godghate NN, Saindane KA, Yemul S, Suryawanshi S. Biological dynamic condylar screw fixation for management of Peritrochanteric hip fractures. Trauma International May -Aug 2018;4(1):25-28.

 


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